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April 21, 1900


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JAMA. 1900;XXXIV(16):967-969. doi:10.1001/jama.1900.24610160009001b

Mrs. M. R., aged 37 years, from whom I removed the pyloric end of the stomach, Dec. 10, 1898, had been the victim of stomach trouble for four years and, for six weeks previous to the operation she scarcely retained any food taken, and for the last two weeks none at all. Her general appearance was that of marked emaciation. The analysis of stomach contents revealed hydrochloric acid present (.1095), pepsinogen, rennet-zymogen, erythrodextrin, blood, mucus, sarcinæ, starch, and yeast. There was absence of lactic, butryic and acetic acids, and the Oppler-Boas bacillus. The tumor was moveable and readily palpable through the abdominal walls. Vomiting and pain had been the prominent symptoms.

Operation.  —On December 10, commencing at 10:30, under chloroform, a median incision four inches in length was made and very little difficulty experienced in withdrawing the tumor through the opening. The growth involved the greater part of the stomach

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